Urinary infections are very popular. As a matter of fact they probably outrank visiting the physician for cholesterol or blood pressure levels. These urinary infections have by far avoided the urology office visit because they are so "primary" common. But the problem becomes how does one differentiate a visit from either the nephrologist or the urologist because of a symptom? Well, of course you could do the "primary" thing and talk to your internist who would suggest a urine sample as this is done to diagnose a urinary tract infection or presence of one and then off to medville you go as you go to your pharmacy to try medications to rid you of the problem. But, then the patient needs more meds or a stronger dose to be completely rid of the infection, so they do another urine sample so that they are not being prescribed too much medication. Urologists probably don't like to treat common bladder or urinary problems. They supposedly only handle what are known as train wrecks(people with actual problems and not people who like being annoying-so they just wait until it occurs) and nephrologists usually want you to do things over and over so they can avoid the situation entirely and then once something becomes apparent or chronic then hey, now we have something here! Meanwhile, that bronze plan you purchased for health insurance may not be enough to cover dialysis. Nephrologists are not known to sweat the small stuff. Now, in the "primary" instance of urinary infections one has to discern if it is urinary or urology or renal or nephrology. As a base for testing with urinary or urology presence of leukocytes or blood in the urine can indicate an infection ect; and protein in the urine can become a concern for renal or nephrology types of issues. What if both are found meaning blood and protein? Special education is what things can be termed, after years of neglect and eventual problem, these people become your life-support or you are theirs as symptomatic becomes chronic and chronic becomes well, just that. Insurance companies should pay for over the counter testing of urinary testing products that not only include testing for leukocytes but it should include protein testing as well so that, such test can be done at home and repeated in the same manner as to provide patient care for the "primary" symptom or complaint and then if symptoms persist a patient may need to see the uh, specialist. As patients do when they visit a physician they seem to want to star gaze with or of course a physician who ain't Cary Grant, they either do not listen or seem to not understand what was discussed during the office visit(if discussed) or they are ready to bolt out the door if they become disappointed by the lack of a Cary Grant in the room, so the patient will come up with any reason to not return for a follow-up. Now, that, front office staff who for some strange reason is supposed to be that "fly on the wall" for patients who want their medical work-up explained to them over and over; what kind of American abuse you do want to create? We are not people you just use to go and swat around because you have some lack of responsibility towards your own health. What is the "primary" reason for all of this? The front office staff has a lot to do and the redundant way of patients would seem as though the physician is lackluster in their duty or that the patient oddly enough is needy in more ways than I care about. Or is it both? Urinary infections, treat the "primary" round over the counter or by meds; if there seems to be a reluctant visit to a specialist- what is the point of all this education? People can be moral and physical burdens-just saying!
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